Page 132 - HA Convention 2015

Symposiums

S1.1 Management of Chronic Diseases 09:00 Convention Hall A

Tuesday, 19 May Applying the Chronic Care Model in Patients with Persistent Pain
Price C
Southampton Pain Team, Solent NHS Trust, UK

How to care effectively for those with chronic conditions is one of the major healthcare challenges of the 21st century. The
development of effective chronic care models has been the focus of many researchers. Patients have also been important
collaborators in this with many groups acting as important research funders. Care models for those with persistent pain has
been slow to adopt such approaches. Reasons for this may be complex, cultural and down to the pain population.

The most familiar model is Wagner’s Chronic Care Model. This focuses on getting the system right. These elements are the
community, the health system, self-management support, delivery system design, decision support and clinical information
systems. Care planning is an important part of the process with patients taking active control of their health.

For persistent pain significant behavioural changes are often needed to help an individual adapt successfully to live with
pain. Understanding where people are in the process of adaptation is an important component of assessment. Various
programmes have been tested to help with that adaptation process.

This lecture will review what assessment methods are available to identify where in the adaptation process patients are and
then what can be done to facilitate adaptation. Some data will be presented from the local experiences of presenters as well
as information from elsewhere.

S1.2 Management of Chronic Diseases 09:00 Convention Hall A

Planning for Sustainable Long Term Care
Morley JE
Division of Geriatric Medicine, Saint Louis University, USA

With the rapid ageing of the community there is a need to enhance community services to provide long term care. There
is a need for trans-professional teams to screen persons over 70 years of age in the community for frailty using simple
screening tools such as the FRAIL and then provide more in-depth management for these persons to result in a prevention of
disability. This will require the development of multiple component resistance based exercise programmes in the community
for frail persons, e.g. Center for Disease Control and Prevention “Going Strong” or Tai-Chi. Similarly there is a need for
rapid screening for early cognitive dysfunction which is often treatable. There is also a need to develop community based
programmes such as Cognitive Stimulation Therapy and Reminiscence Programmes to support persons with early and mid-
stage Alzheimer’s. Finally nursing homes need to follow the principles set out by the International Association of Gerontology
and Geriatrics to provide high quality care.

HOSPITAL AUTHORITY CONVENTION 2015 S1.3 Management of Chronic Diseases 09:00 Convention Hall A

A Review of Chronic Disease Self-management Models
Battersby M
Department of Psychiatry, Flinders University, Australia

There are various terms and definitions used to describe “self-management”. “Self-management” is usually used to refer
to the education a patient receives about disease management of their condition, in contrast to generic models of self-
management support which address multiple diseases or conditions in the person and provide a set of skills that the person
can learn to manage any chronic condition. Differentiating self-management from self-management support is a critical
step in determining which interventions can be directed at the patients themselves, clinicians and healthcare workers and
the health system. This presentation will review current models of self-management and self-management support, their
strengths and weaknesses and application in different settings.

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